Abstract

CASADO MENDEZ, Pedro Rafael; GALLARDO ARZUAGA, Ruber Luis; FERRER MACADAN, Carmen Elena  and  LABRADA GONZALEZ, Dolores. Morphometric variants of the cecal appendix in a living person. Rev. Med. Electrón. [online]. 2014, vol.36, n.1, pp. 49-59. ISSN 1684-1824.

Introduction: the anthropometry and location of the cecal appendix are inconstant parameters in the human being. The accumulated knowledge is scarce and very limited, mostly coming from studies in cadavers. The objective of the research was determining the biometrical characteristics and anatomical position of the cecal appendix in living persons. Method: we carried out a prospective, descriptive, observational study, in an universe of 236 surgically treated patients, with a diagnostic of acute appendicitis in the Teaching Surgical Clinical Hospital Celia Sanchez Manduley, in Manzanillo, Granma. The approaching ways were infra umbilical right paramedical laparotomies (58,47 %) and McBurney's laparotomies (41,53 %). In the course of the laparotomy we observed the cecum and the appendixes, carrying out the ectomy by usual technique, half centimeter before its linking point with the cecum, measuring it in an extracorporeal form. Results: the cecum was located in the right iliac fossa in 184 patients (77,97 %). The appendix was implanted behind the ileo-cecal valve in 239 cases (90,26 %) with a 9,31 cm ± 3,37 average longitude. The most frequent location was the meso-celiac one (40,25 %). The meso-appendix was triangular in 161 cases (68,22 %) and inserted in the medial third in 75,84 %. The appendix irrigation was more frequent through 3 arterial branches (77,97 %). Conclusions: There it was a prevalence of the cecum location in the right iliac fossa, the implantation behind the ileo-cecal valve, the meso-celiac position; the average length was 9,31 cm. The meso-appendix was predominantly triangular, inserted in the medial third with three arterial branches.

Keywords : cecal appendix; location; morphometry.

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